npidexNPI registry + Medicare data

FRANCISCO SOTO, MD

Pulmonary Disease Physician · KNOXVILLE, TN

Individual Active NPI 1356395255

Medicare payment data Part B · 2024

YearBeneficiariesServicesSubmittedAllowedPaid
2024202550$149,675$58,016$45,428
2023214589$127,595$48,725$38,267
2022216624$182,647$63,053$49,529

Top procedures (2024)

HCPCSDescriptionServicesAvg allowedAvg paid
99291Critical care, first 30-74 minutes106$203$161
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes78$114$91
99215Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more56$172$136
94618Test for exercise-induced lung stress45$32$26
G2212Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or31$31$25
94729Test to examine how well the lungs exchange gases27$8$7
94726Test to determine lung volumes using sensors24$11$9
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes22$166$130
93451Insertion of tube in right heart chambers for measurement17$119$81
94010Test to measure expiratory airflow and volume17$8$6
99205New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more17$209$152
94729Test to examine how well the lungs exchange gases14$8$7

Taxonomy & licensure

SpecialtyCodePrimaryLicenseState
Pulmonary Disease Physician207RP1001X✓55964TN
Critical Care Medicine (Internal Medicine) Physician207RC0200X55964TN
Sleep Medicine (Internal Medicine) Physician207RS0012X55964TN

Medicare participation

Enrolled in Medicare

CMS lists this provider as eligible to order and refer under Medicare. They billed Medicare Part B in 2024.

Enrolment status from public CMS files — not a guarantee of coverage for any particular patient or plan. We hold no commercial-insurance network data; confirm with the provider and your insurer before an appointment.

Part B
Yes
DME
Yes
Home health
Yes
Power mobility
Yes
Hospice
Yes

Other Pulmonary Disease Physician providers in Tennessee

See all Pulmonary Disease Physician providers in Tennessee →

Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.